Abstract
The objective of this chapter is to present our experience with the surgical management of centrally located cystadenomas and cystadenocarcinomas. Intrahepatic biliary cystadenomas and cystadenocarcinomas are rare cystic tumors that are often misdiagnosed preoperatively as simple cysts or hydatid cysts. A central location further increases the likelihood of the diagnosis. Cystadenomas recur after incomplete resection and entail a risk of malignant transformation to cystadenocarcinoma. Because of the high recurrence rate and difficultly obtaining an accurate preoperative diagnosis, formal liver resection is mandatory. Enucleation with free margins is an option and is indicated where resection is impossible. We describe herein two cases of centrally located cystadenomas that turned to be cystadenocarcinomas, and emphasize the technical key points in order to perform safely a liver resection in this setting.
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Melloul, E., Tabrizian, P., Schwartz, M.E. (2017). Resection of Centrally Located Cystadenoma/Cystadenocarcinoma. In: Pawlik, T., Weber, S., Gamblin, T. (eds) Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-50868-9_3
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DOI: https://doi.org/10.1007/978-3-319-50868-9_3
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